Organization
J.A.SANTIAGO, MS, RPT, P.A.
Active
Other names
Physical Therapy Walk-in/Santiago Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A SANTIAGO MS, RPT, P.A (OWNER)
(813) 876-7400
Entity
Organization
Contact information
Practice address
1720 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6508
(813) 876-7400
(813) 877-8145
Mailing address
1720 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6508
(813) 876-7400
(813) 877-8145
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
PT4581
FL
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4581
LICENSE
FL
Enumeration date
02/12/2010
Last updated
05/24/2016
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